Healthcare Provider Details

I. General information

NPI: 1326082330
Provider Name (Legal Business Name): PAUL M. SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PLEASANT ST
CONCORD NH
03301-7539
US

IV. Provider business mailing address

246 PLEASANT ST MEMORIAL BUILDING, WEST, FLOOR 1
CONCORD NH
03301-2548
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-3388
  • Fax: 603-225-3557
Mailing address:
  • Phone: 603-224-3388
  • Fax: 603-225-3557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number8269
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: